In this solo episode, Dr. Marianne Miller, LMFT, breaks down the reality of atypical anorexia and challenges the damaging myth that only thin people struggle with restrictive eating. Despite the name, atypical anorexia is far from rare—and for many people in mid-sized and fat bodies, it goes undetected, misdiagnosed, or even encouraged by medical providers because of weight stigma.

Dr. Marianne explores why restriction is deeply harmful regardless of body size, and shares research showing that at least 50% of people who meet anorexia criteria are not in bodies typically identified as anorexic. She also explains how neurodivergence—including autism, ADHD, and OCD traits—can interact with restriction, and why sensory-attuned, neurodivergent-affirming, and trauma-informed care is essential.

If you’ve ever felt like you weren’t “sick enough” to deserve support, this episode is here to offer clarity, validation, and the reminder that you are already worthy of care.

What atypical anorexia actually means and why the name is misleading

The percentage of people with anorexia who are not underweight

The effects of weight stigma in delaying eating disorder diagnosis and treatment

How restriction harms people in every body size

The connection between neurodivergence and restrictive eating

Why restriction “counts” even if you haven’t lost weight

How healing begins with naming the disorder and receiving affirming care

This episode includes discussion of restrictive eating, weight stigma, medical complications, and BMI. Please listen with care and take breaks if needed.

If you’re struggling with restriction, food obsession, or atypical anorexia and are seeking affirming, experienced support, Dr. Marianne offers therapy in California, Texas, and Washington, D.C. Her approach is weight-inclusive, neurodivergent-affirming, and trauma-informed.

Get started here: 👉 https://www.drmariannemiller.com